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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Cash flows from operating activities:    
Net loss $ (12,112) $ (26,849)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization including right-of-use assets 307 107
Impairment of acquired IPR&D   21,692
Changes in fair value of financial instruments 77 96
Change in fair value of contingent consideration 133 (134)
Noncash interest (income) / expense (4) 35
Foreign currency loss 59 61
Amortization of debt issuance costs 147 109
Accretion on discount to short-term investments (342) (138)
Stock-based compensation 1,000 412
Benefit for deferred taxes   (4,555)
Changes in operating assets and liabilities:    
Prepaid expenses and other current assets 69 54
Non-current assets (953)  
Accounts payable and accrued expenses and other current liabilities 953 (554)
Long-term liabilities (193) (7)
Net cash used in operating activities (10,859) (9,671)
Cash flows from investing activities:    
Purchase of property and equipment (96) (19)
Purchase of available-for-sale securities, net (46,035) (15,891)
Maturities of available-for-sale securities 42,800 25,300
Sale of available-for-sale securities, net 10,651  
Net cash provided by investing activities 7,320 9,390
Cash flows from financing activities:    
Issuance of common stock upon exercise of warrants   18
Issuance of common stock upon at the market offerings, net 4,890 493
Proceeds from exercise of stock options 6 3
Capital lease obligation principal payments   (243)
Net cash provided by financing activities 4,896 271
Effect of exchange rate changes on cash and cash equivalents 13 11
Increase in cash and cash equivalents 1,370 1
Cash and cash equivalents beginning of period 24,301 22,121
Cash and cash equivalents end of period 25,671 22,122
Supplemental disclosure of cash flow information:    
Cash paid for interest $ 528 $ 334